[Supraglottic airway devices in emergency medicine : impact of gastric drainage].

摘要: This case report describes a life-saving use of supraglottic airway device (LT-D™-Larynxtubus, VBM Medizintechnik, Sulz, Germany) in an out-of-hospital emergency patient suffering from severe traumatic brain injury. Mechanical ventilation with the laryngeal tube was complicated by repeated obstructions and pronounced gastric distension air as consequence oropharyngeal leakage. In this situation pulmonary compromised so that endotracheal intubation became necessary resuscitation area vital indications. context status devices medicine is discussed well reasons for distension. Besides immediate drastic consequences respect to ventilation, potential deleterious non-pulmonary complication are highlighted. The clinical relevance described complications associated possibility optimized position control necessitate recommendation only second generation integrated access (out-of-hospital) medicine.